한국임상수의학회지 (Journal of Veterinary Clinics)

  • 제38권4호
  • /
  • Pages.194-198
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  • 2021
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  • 1598-298X(pISSN)
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  • 2384-0749(eISSN)
한국임상수의학회 (The Korean Society of Veterinary Clinics)
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A Case of Acral Lick Dermatitis in a Dog with Multiple Lesions

  • Kim, Jihee (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Chonnam National University) ;
  • Kim, Yoonji (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Chonnam National University) ;
  • Kim, Soomin (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Chonnam National University) ;
  • Kim, Hyeon-Jin (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Chonnam National University) ;
  • Lee, Ji-Hye (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Chonnam National University) ;
  • Kim, Ha-Jung (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Chonnam National University)
  • 투고 : 2021.01.11
  • 심사 : 2021.07.19
  • 발행 : 2021.08.31
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초록

A 7-year-old intact male Maltese dog was presented with firm, raised, erythematous, alopecic, and pruritic skin lesions on the right dorsal distal metatarsal region and the tail. The skin lesion started a year ago with a crust-like lesion on the right dorsal distal metatarsal region which gradually swelled as the patient continued to lick and chew without healing. Recently, similar lesions occurred on the tail. Based on the licking history and ruling out other diseases through skin examination, acral lick dermatitis (ALD) was diagnosed. Treatment included antidepressants, preventive antibiotics, topical corticosteroid, and wearing Elizabethan collar as a physical barrier. After three weeks, the lesion on the hind limb healed entirely. However, the tail lesion recurred as it was able to lick the tail again with a type of an E-collar. This case shows that it is essential to block the contact lesion and provide medical treatment until the lesion has been completely resolved for successful management of ALD.

키워드

과제정보

This research was supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF), funded by the Ministry of Education (NRF-2020R1A2C2005364).

참고문헌

  1. Arza R. Using CO2 laser on acral lick granulomas. Veterinary Practice News. Apr, 2016; A special advertising section. p. 32-33.
  2. Eckstein RA, Hart BL. Treatment of canine acral lick dermatitis by behavior modification using electronic stimulation. J Am Anim Hosp Assoc 1996; 32: 225-230. https://doi.org/10.5326/15473317-32-3-225
  3. Goldberger E, Rapoport JL. Canine acral lick dermatitis: response to the antiobsessional drug clomipramine. J Am Anim Hosp Assoc 1992; 27: 179-182.
  4. Grant JE, Odlaug BL, Chamberlain SR, Keuthen NJ, Lochner C, Stein DJ. Skin picking disorder. Am J Psychiatry 2012; 169: 1143-1149. https://doi.org/10.1176/appi.ajp.2012.12040508
  5. Kang MH, Lee CM, Sung HJ, Park HM. Clomipramine treatment of acral lick dermatitis in a dog. Korean J Vet Res 2013; 53: 185-187. https://doi.org/10.14405/kjvr.2013.53.3.185
  6. Marder AR. Psychotropic drugs and behavioral therapy. Vet Clin North Am Small Anim Pract 1991; 21: 329-342. https://doi.org/10.1016/S0195-5616(91)50036-X
  7. Miller WH Jr, Scott DW, Wellington JR. Nonsteroidal management of canine pruritus with amitriptyline. Cornell Vet 1992; 82: 53-57.
  8. Moon JY, Lee PB, Kim YC, Lee SC, Nahm FS, Choi E. Efficacy and safety of 0.625% and 1.25% capsaicin patch in peripheral neuropathic pain: multi-center, randomized, and semi-double blind controlled study. Pain Physician 2017; 20: 27-35.
  9. Overall KL, Dunham AE. Clinical features and outcome in dogs and cats with obsessive-compulsive disorder: 126 cases (1989-2000). J Am Vet Med Assoc 2002; 221: 1445-1452. https://doi.org/10.2460/javma.2002.221.1445
  10. Rapoport JL, Ryland DH, Kriete M. Drug treatment of canine acral lick. An animal model of obsessive-compulsive disorder. Arch Gen Psychiatry 1992; 49: 517-521. https://doi.org/10.1001/archpsyc.1992.01820070011002
  11. Rehrig AN, Napolitano DA, Monsour CP. Assessment and treatment of self-injurious behavior in a dog. J Anim Behav Technol 2018; 8: 42-47.
  12. Shumaker AK, Angus JC, Coyner KS, Loeffler DG, Rankin SC, Lewis TP. Microbiological and histopathological features of canine acral lick dermatitis. Vet Dermatol 2008; 19: 288-298. https://doi.org/10.1111/j.1365-3164.2008.00693.x
  13. Shumaker AK. Diagnosis and treatment of canine acral lick dermatitis. Vet Clin North Am Small Anim Pract 2019; 49: 105-123. https://doi.org/10.1016/j.cvsm.2018.08.010
  14. Vermeire S, Audenaert K, De Meester R, Vandermeulen E, Waelbers T, De Spiegeleer B, et al. Serotonin 2A receptor, serotonin transporter and dopamine transporter alterations in dogs with compulsive behaviour as a promising model for human obsessive-compulsive disorder. Psychiatry Res 2012; 201: 78-87. https://doi.org/10.1016/j.pscychresns.2011.06.006
  15. Wynchank D, Berk M. Fluoxetine treatment of acral lick dermatitis in dogs: a placebo-controlled randomized double blind trial. Depress Anxiety 1998; 8: 21-23. https://doi.org/10.1002/(SICI)1520-6394(1998)8:1<21::AID-DA4>3.0.CO;2-8
  16. Yalcin E. Comparison of clomipramine and fluoxetine treatment of dogs with tail chasing. Tierarztl Prax Ausg K Kleintiere Heimtiere 2010; 38: 295-299. https://doi.org/10.1055/s-0038-1622860